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Cost-Effectiveness of a Training Intervention for Adolescents with ADHD.

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Title: Cost-Effectiveness of a Training Intervention for Adolescents with ADHD.
Authors: Margherio, Samantha M. (AUTHOR), Evans, Steven W. (AUTHOR), Monopoli, W. John (AUTHOR), Langberg, Joshua M. (AUTHOR)
Source: Journal of Clinical Child & Adolescent Psychology. Nov/Dec2023, Vol. 52 Issue 6, p819-833. 15p.
Subjects: Youth with attention-deficit hyperactivity disorder, Attention-deficit hyperactivity disorder, Cost effectiveness, Grade point average, Cost analysis, Teenagers, Mentoring
Abstract: The aim of this study was to examine the costs and cost-effectiveness of a school-based training intervention delivered at varying levels of intensity with adolescents with attention-deficit/hyperactivity disorder (ADHD). Costs were examined in relation to post-treatment and 6-month follow-up effects of the Challenging Horizons Program (CHP), a training intervention for adolescents with ADHD. A total of 326 middle-school students (71% male; 77% White) with ADHD were randomized to an after-school version of the CHP (CHP-AS), a less-intensive mentoring version (CHP-M), or routine community care. Detailed time logs were maintained throughout the study and were used to estimate costs associated with each condition. Student grade point average (GPA) and parent-rated ADHD symptoms and organization skills were collected at post-treatment and 6-month follow-up. The cost analysis revealed that CHP-AS was more costly per student than CHP-M, both in terms of overall costs and direct expenses to the school. However, CHP-AS was less costly per hour of intervention provided to the youth than CHP-M. Incremental cost-effectiveness ratios revealed that CHP-M may be the more cost-effective option for post-treatment effects, yet CHP-AS may be the more cost-effective option in the long term for sustained gains in organization skills and GPA. This study provides stakeholders important information to make decisions regarding allocation of finite monetary resources to meet their prioritized goals. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Cost-Effectiveness of a Training Intervention for Adolescents with ADHD.
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  Data: <searchLink fieldCode="AR" term="%22Margherio%2C+Samantha+M%2E%22">Margherio, Samantha M.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Evans%2C+Steven+W%2E%22">Evans, Steven W.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Monopoli%2C+W%2E+John%22">Monopoli, W. John</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Langberg%2C+Joshua+M%2E%22">Langberg, Joshua M.</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Clinical+Child+%26+Adolescent+Psychology%22">Journal of Clinical Child & Adolescent Psychology</searchLink>. Nov/Dec2023, Vol. 52 Issue 6, p819-833. 15p.
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  Data: <searchLink fieldCode="DE" term="%22Youth+with+attention-deficit+hyperactivity+disorder%22">Youth with attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Attention-deficit+hyperactivity+disorder%22">Attention-deficit hyperactivity disorder</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+effectiveness%22">Cost effectiveness</searchLink><br /><searchLink fieldCode="DE" term="%22Grade+point+average%22">Grade point average</searchLink><br /><searchLink fieldCode="DE" term="%22Cost+analysis%22">Cost analysis</searchLink><br /><searchLink fieldCode="DE" term="%22Teenagers%22">Teenagers</searchLink><br /><searchLink fieldCode="DE" term="%22Mentoring%22">Mentoring</searchLink>
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  Data: The aim of this study was to examine the costs and cost-effectiveness of a school-based training intervention delivered at varying levels of intensity with adolescents with attention-deficit/hyperactivity disorder (ADHD). Costs were examined in relation to post-treatment and 6-month follow-up effects of the Challenging Horizons Program (CHP), a training intervention for adolescents with ADHD. A total of 326 middle-school students (71% male; 77% White) with ADHD were randomized to an after-school version of the CHP (CHP-AS), a less-intensive mentoring version (CHP-M), or routine community care. Detailed time logs were maintained throughout the study and were used to estimate costs associated with each condition. Student grade point average (GPA) and parent-rated ADHD symptoms and organization skills were collected at post-treatment and 6-month follow-up. The cost analysis revealed that CHP-AS was more costly per student than CHP-M, both in terms of overall costs and direct expenses to the school. However, CHP-AS was less costly per hour of intervention provided to the youth than CHP-M. Incremental cost-effectiveness ratios revealed that CHP-M may be the more cost-effective option for post-treatment effects, yet CHP-AS may be the more cost-effective option in the long term for sustained gains in organization skills and GPA. This study provides stakeholders important information to make decisions regarding allocation of finite monetary resources to meet their prioritized goals. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Clinical Child & Adolescent Psychology is the property of Taylor & Francis Ltd and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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        Value: 10.1080/15374416.2021.1875323
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        Text: English
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      – SubjectFull: Cost analysis
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      – SubjectFull: Teenagers
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      – TitleFull: Cost-Effectiveness of a Training Intervention for Adolescents with ADHD.
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            NameFull: Evans, Steven W.
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              Text: Nov/Dec2023
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